Abstract
Initially in 1913, Lipschutz described a vulvar ulcer pattern in female adolescents with no history of sexual intercourse associated with a sudden onset, painful vulvar ulceration, and systemic prodromes. Also known as ulcus vulvae actum or acute genital ulcer, it is a reaction to an infection or an inflammation, which can be systemic or localized in a non-vulvar site. The Lipschutz ulcer (LU) is a diagnosis of exclusion and it has numerous differential diagnoses. For example, sexually transmitted infections (STIs), non-venereal diseases, drug reactions, traumatic and neoplastic causes, among others, should be considered. This study aims to review the diagnosis and treatment of LU, since this disease is often underdiagnosed and constitutes an important differential diagnosis of genital ulcers. It is important to remember that this disease has a non-specific prodromic clinical condition, presenting itself with painful ulcers in the genital region, it is not sexually transmitted, it is self-limited and the treatment is focused on analgesia for better patient ease.
Highlights
INTRODUCTIONWith the labia minora being the most common site. They may be single or multiple, and of a painful nature 2
In 1913, Lipschutz described a vulvar ulcer pattern in female adolescents with no history of sexual intercourse associated with a sudden onset, painful vulvar ulceration, and systemic prodromes
É importante lembrar que esta doença possui uma condição clínica prodrômica não específica, apresentando úlceras dolorosas na região genital, não é sexualmente transmitida, é autolimitada e o tratamento é focado na analgesia para um melhor conforto do paciente
Summary
With the labia minora being the most common site. They may be single or multiple, and of a painful nature 2. It usually occurs in young women with no history As a result of the self-limiting nature of the infection, women of sexual activity. It can affect children, and it’s can be sure that the ulcers will heal completely despite the characterized by painful, benign, and self-limited ulcerations pain[15]. For resolution in days and may leave a scar It is the most example, sexually transmitted infections (STI), non-venereal common form and is usually accompanied by the systemic diseases, drug reactions, traumatic and neoplastic causes, prodromal phase. Key words like "acute sexual activity in the previous three months; recent history of genital ulcer", "Lipschutz ulcer" or "vulvar ulcer" were used systemic influenza or mononucleosis-like disease; presence of and 17 relevant articles on this topic were selected. The articles evolution with sudden onset and spontaneous cicatrization in were selected by reading titles, abstracts and publication date. six weeks[10]
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